Hinckley Assisted Living LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

385020 Issued in MN

Legal business name

HINCKLEY ASSISTED LIVING LLC.

Practice address

710 Spring LN
Hinckley, MN 55037-8362

Phone

(320) 384-7373

Fax

(320) 384-0700

NPI assigned

Mar 22, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald Ausmus

Title

Vice President

Phone

(320) 224-8357

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elderwood of Hinckley Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1851895809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 SPRING LN",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550378362",
            "telephone_number": "320-384-7373",
            "fax_number": "320-384-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 SPRING LN",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550378362",
            "telephone_number": "320-384-7373",
            "fax_number": "320-384-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINCKLEY ASSISTED LIVING LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "AUSMUS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "320-224-8357"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "385020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIQUE MINNESOTA PROVIDER NUMBER (UMPI)",
            "identifier": "A113482000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderwood of Hinckley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald John Grote, DDS
• Taquoia Hammick
• Kyle M Hams, DC
• Stephanie Alexis Hanowski
• Darnell Jean Hendrickson, OCCUPATIONAL THERAPI
• Hinckley Dental Center P. a.
• Hinckley Drug LLC
• Adam Michael Holder, D.D.S.
• Jodel Hunt, IHP
• Independent School District 2165

• Assisted Living Facility in Hinckley, MN
• Providers in Hinckley, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.